TheHIV/AIDSparadox:Facedwithanepidemicaffectingalreadyvulnerablegroupsinsociety,insusceptibletoeasymedicalsolutions,theearlydaysoftheHIV/AIDSpandemicwereverydifficult.Yettheyproducedaresponsethatinvolvedaddressingaparadox.Paradoxically,themosteffectivewaytoreducethespreadofHIVwasbyprotectingtherightsofthosealreadyinfectedorthosechieflyatriskofinfection.Thiswasaparadoxbecause,inthepast,facedwithepidemics,thenormalresponseofsocietyhadbeenquarantine.BythetimethemagnitudeofHIVwasrecognised,thepossibilityofquarantinehadpassed.Inanycase,giventheslowdevelopmentofHIVinmanyhumans,effectivequarantinewouldhavebeenadisproportionateandineffectiveresponse.
Recognisingtheneedforparadoxicalinitiatives,countriessuchasAustraliabegantakingstepstoaffordlegalandotherprotectionsforpersonsatrisk.Thesestepsincluded:
(1)Introductionofmajorpublichealthinformationcampaignsdiscussingsexualsubjectsopenlyinwaysthatwereunprecedented;
(2)Establishmentofanationalneedleexchangeprogrammeforinjectingdrugusers;
(3)Legalisationordecriminalisationofprostitution(commercialsexwork);
(4)Passageofanti-discriminationlaws;
(5)Thedecriminalisationoflawsagainstsexualminorities.
Inconsequenceoftheseinitiallyradical,andparadoxical,measures,theearlyrapidgrowthofinfectionswithHIVwasturnedaroundincountriesthatadoptedtheseboldmeasures.Thenumberofsero-conversionsquicklyfell.Althoughthereissomeevidenceofariseinrecentyears(usuallyattributedtothedifficultyofmaintainingvigilanceandself-protectionoverlongperiodswithinnewgenerations),thegeneraleffectivenessofthenon-medicalresponseshasbeenwidelyacknowledged.Toasignificantextent,thecountriesthathavetakentheparadoxicalmeasureshavewitnessedafallinsero-conversions.Thosethathavecontinuedtopromote,orpermit,stigma;tocriminaliseadultsexualconductinprivate;andtostigmatizeminoritygroupshavewitnessedacontinuingriseinHIVinfections.